Organization
JOHN STEDMAN DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEDMAN DO (OWNER AND PROVIDER)
(207) 772-0211
Entity
Organization
Contact information
Practice address
192 WESTERN AVE, SOUTH PORTLAND, ME 04106-2428
(207) 772-0211
(207) 772-3896
Mailing address
192 WESTERN AVE, SOUTH PORTLAND, ME 04106-2428
(207) 772-0211
(207) 772-3896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M333
CIGNA
—
01
—
S0939
ANTHEM
—
Enumeration date
03/23/2007
Last updated
04/07/2008
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